Active NPI
Pamela Gail Deneve
- Occupational Therapist
- Winter Haven, FL
National Provider Identifier
1215210661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14666
- Practice address
- 250 3Rd St NW Ste 202
Winter Haven, FL 33881-4605 - Phone
- (863) 595-1071
- Fax
- (863) 595-1073
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT14666 | FL | Primary |
Addresses
Primary practice location
250 3Rd St NW Ste 202
Winter Haven, FL 33881-4605
Mailing address
250 3Rd St NW Ste 202
Winter Haven, FL 33881-4605
Phone (863) 595-1071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT14666 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1215210661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 3RD ST NW STE 202",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814605",
"telephone_number": "863-595-1071",
"fax_number": "863-595-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 3RD ST NW STE 202",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814605",
"telephone_number": "863-595-1071",
"fax_number": "863-595-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENEVE",
"first_name": "PAMELA",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.